Form Nc-4 Nra - Allowance Worksheet

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NC-4 NRA Allowance Worksheet
Part I
Answer all of the following questions:
1.
Will your charitable contributions exceed $2,499?
Yes o
No o
2.
Will you have adjustments or deductions from income, see Page 3, Schedule 1?
Yes o
No o
3.
Will you be able to claim any N.C. tax credits or tax credit carryovers from
Page 4, Schedule 3?
Yes o
No o
If you answered “No” to all of the above, STOP HERE and enter ZERO (0) as total allowances on Form NC-4 NRA, Line
1. On Line 2, enter $9 if you are paid weekly; enter $19 if you are paid biweekly; enter $20 if you are paid semimonthly; or
enter $41 if you are paid monthly. If you answered “Yes” to any of the above, you may choose to go to Part II to determine
if you qualify for additional allowances.
NC-4 NRA
Part II
$
.
1.
Enter your total estimated charitable contributions ................................................... 1. _____________________
2.
Enter an estimate of your total federal adjustments to income and N.C.
$
.
deductions from federal adjusted gross income from Page 3, Schedule 1 .............. 2. _____________________
$
.
3.
Add lines 1 and 2
................................................................................................................................................ 3. _______________________
$
.
4.
Enter an estimate of your nonwage income (such as dividends or interest) ............ 4. _____________________
5.
Enter an estimate of your N.C. additions to federal adjusted gross
$
.
income from Page 3, Schedule 2 .......................................................................... 5. ______________________
$
.
6.
Add lines 4 and 5
................................................................................................................................................ 6. _______________________
$
.
Subtract line 6 from line 3 (Do not enter less than zero) ....................................................................................... 7. _______________________
7.
8.
Divide the amount on line 7 by $2,500 . Round down to whole number ............................................................... 8. _______________________
Ex. $3,900 ÷ $2,500 = 1.56 rounds down to 1
$
.
9.
Enter the amount of your estimated N.C. tax credits from Page 4, Schedule 3 ....... 9. _____________________
10.
Divide the amount on line 9 by $140. Round down to whole number .................................................................. 10. _______________________
Ex. $200 ÷ $140 = 1.43 rounds down to 1
11.
Total number of allowances (Add Lines 8 and 10) Enter on Line 1 of Form NC-4 NRA ........................................ 11. ________________________
Payroll Period
Weekly
Biweekly
Semimonthly
Monthly
12.
Enter on Line 2 of Form NC-4 NRA the appropriate
Additional
amount from the chart based on your payroll period
$9
$19
$20
$41
Withholding
Page
2

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